Job description

Job responsibilities

Key duties and responsibilities

(Please note this is a list of options, it is not exhaustive, which options are deployed will be decided by the individual PCN, in conjunction with the clinical pharmacist and SEL GP Group). It is however mandated by NHS England that this role is patient-facing in nature.

1. Patient facing Clinical Medication Review

Undertake clinical medication reviews with patients and produce recommendations for senior clinical pharmacist, nurses and/or GP on prescribing and monitoring. These reviews could be cohort based, in care homes, polypharmacy or any other area required by the PCN, within the pharmacists competence. Home visits may be required.

2. Medicines quality improvement

Undertake clinical audits of prescribing in areas directed by the PCN, feedback the results and implement changes in conjunction with the relevant practice team.

Identify cohorts of patients at high risk of harm from medicines through computer searches. This might include risks that are patient related, medicine related, or both. Put in place changes to reduce the prescribing of these medicines to high-risk patient groups

3. Medicines safety

Implement changes to medicines that result from MHRA alerts, product withdrawal and other local and national guidance.

4. Management of common/minor/self-limiting ailments

Managing caseload of patients with common/minor/self-limiting ailments while working within a scope of practice and limits of competence. Signposting to community pharmacy and referring

to GPs or other healthcare professionals where appropriate.

5. Patient facing medicines support

Provide patient facing clinics for those with questions, queries and concerns about their

medicines in the practice.

6. Telephone medicines support

Provide a telephone help line for patients with questions, queries and concerns about their

medicines.

7. Management of medicines at change of care setting

Reconcile medicines following discharge from hospital or admission to intermediate care or care homes, including identifying and rectifying unexplained changes and working with patients and community pharmacists to ensure patients receive the medicines they need post discharge. Set up and manage systems to ensure continuity of medicines supply to high-risk groups of patients (e.g. those with medicine compliance aids or those in Care Homes).

8. Medicine information to practice staff and patients

Answer relevant medicine-related enquiries from GPs, other network staff, other healthcare teams (e.g. community pharmacy) and patients with queries about medicines. Suggest and recommend solutions. Providing follow up for patients to monitor the effect of any changes.

9. Drug monitoring

Ensure robust systems are in place for drug monitoring at each practice across the PCN, streamlining these where possible. Understand and apply the traffic light classifications for prescribing in the Leeds Health Economy.

10. Signposting

Ensure that patients are referred to the appropriate healthcare professional for the appropriate level of care within an appropriate period of time e.g. pathology results, common/minor ailments, acute conditions, long term condition reviews etc.

11. Repeat prescribing

Ensure each practice in the PCN has a robust repeat prescribing policy, and streamline these across the PCN where possible. You may be asked to contribute to the repeat prescribing reauthorisation process by reviewing patient requests for repeat prescriptions and reviewing medicines reaching review dates. Ensure patients have appropriate monitoring in place when required.

12. Service development

Contribute pharmaceutical advice for the development and implementation of new services that have medicinal components (e.g. advice on treatment pathways and patient information leaflets).

13. Information management

Analyse, interpret and present medicines data to highlight issues and risks to support decision making.

14. Education and Training

Provide education and training to primary healthcare team on therapeutics and medicines

optimisation.

15. Care Quality Commission

Work with the general practice teams to ensure the practices are compliant with CQC standards where medicines are involved.

16. Public health

Support public health campaigns. Provide specialist knowledge on all public health

programmes available to the general public.

17. Collaborative working arrangements

Work collaboratively with their PCN Clinical Director.

Participate in the PCN MDT.

Liaise with the Leeds GP Confederation Clinical Pharmacy team to benefit from peer support.

Liaise with CCG Medicines Commissioning colleagues on prescribing related matters to ensure consistency of patient care and benefit

Engage with the Leeds Practice Pharmacist and Technician Network and with the other SEL GP-employed pharmacists for peer support.

Foster and maintain strong links with all services across the PCN and neighbouring networks.

Explores the potential for collaborative working and takes opportunities to initiate and

sustain such relationships.

Liaises with other stakeholders as needed for the collective benefit of patients,including but not limited to :

Patients and their representatives

GP, nurses and other practice staff

Social prescribers, first contact physiotherapists, physicians associates and paramedics.

Community pharmacists and support staff

Locality / GP prescribing lead

Locality managers

Community nurses and other allied health professionals

Hospital staff with responsibilities for prescribing and medicines optimisation

18. Professional development

Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities.

Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.

Work with your line manager to access regular clinical supervision, to enable you to deal effectively with the difficult issues that people present.

Review yearly progress and develop clear plans to achieve results within priorities set by others. Participate in the delivery of formal education programmes.

Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.

19. Research and Evaluation

Critically evaluate and review literature.

Identify where there is a gap in the evidence base to support practice.

Generate evidence suitable for presentations at practice and local level.

Apply research evidence base into the workplace.

20. Health and Safety/Risk Management

Must comply at all times with the Health and Safety policies, in particular following safe working procedures and reporting incidents using the organisations Incident Reporting Systems

Comply with the Data Protection Act (2018) and the Access to Health Records Act (1990).

21. Special working conditions

The post holder is required to travel independently between work sites and to attend meetings etc hosted by other agencies.

The post-holder will have contact with body fluids, i.e. wound exudates, urine etc while in clinical practice.

The post-holder is likely to need to visit patients in their own home.

22. Miscellaneous

Work as part of the team to seek feedback, continually improve the service and contribute to business planning.

Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.

Duties may vary from time to time, without changing the general character of the post or the level of responsibility.

23. Equality and Diversity

The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc

24. Respect for Patient Confidentiality

The post-holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

Person Specification

Personal Qualities & Attributes

Essential

• Commitment to reducing health inequalities and proactively working to reach people from all communities
• Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations, e.g. CCGs)
• Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary
• Ability to identify risk and assess/manage risk when working with individuals
• Able to work under pressure and meet deadlines
• Demonstrates accountability for delivering professional expertise and direct service provision

Desirable

• Demonstrates accountability for delivering professional expertise and direct service provision

Professional registration

Essential

• Mandatory registration with the General Pharmaceutical Council

Desirable

• Membership Primary Care Pharmacy Association (PCPA)
• Membership of the Royal Pharmaceutical Society

Other

Essential

• Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
• Adaptable
• Evidence of being a great team-player
• Self Motivation
• Safeguarding and other mandatory training
• Immunisation status
• Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes

Experience

Essential

• Demonstrable experience as an established foundation-level pharmacist, demonstrated within a practice portfolio
• Experience and an awareness of the breadth of common acute and long-terms conditions that are likely to be seen in general practice
• Demonstrates ability to integrate general practice with community and hospital pharmacy teams and community groups
• Experience of partnership/collaborative working and of building relationships across a variety of organisations

Qualifications

Essential

• Qualifications & TrainingCompletion of an undergraduate degree in pharmacy and registration with the General Pharmaceutical Council
• Demonstrates and understanding of, and conforms to, relevant standards of practice.
• Follows professional and organisational policies/procedures relating to performance management

Desirable

• Holds or working towards an independent prescribing qualification
• Postgraduate Diploma in Clinical Pharmacy
• Successful completion of the CPPE General Practice Pharmacist Training Pathway

Skills and knowledge

Essential

• Demonstrable experience as an established foundation-level pharmacist, demonstrated within a practice portfolio
• Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports
• Able to obtain and analyse complex technical information.
• Able to gain acceptance for recommendations and influence/motivate/persuade the audience to comply with the recommendations/agreed course of action where there may be significant barriers
• Able to identify and resolve risk management issues according to policy/protocol.
• Understand the principles of research governance

Desirable

• Demonstrable experience as an established foundation-level pharmacist, demonstrated within a practice portfolio
• Able to plan, manage, monitor and review general medicine optimisation issues in core areas for long term conditions

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

South and East Leeds GP Group

Address

Hosted Employers address

1st Floor Park Edge Practice

Asket Drive

Leeds

West Yorkshire

LS14 1HX

United Kingdom

Employer's website

https://www.seleedsgpgroup.nhs.uk/ (Opens in a new tab)

Job description

Job responsibilities

The Single Point of Access Pathway Navigator will:

Complete comprehensive and holistic assessments of need for patients with suspected ADHD who fit the criteria for the service within agreed timeframes.

Identify patient safety risks and escalate concerns when necessary to the appropriate person, following correct protocols and within a timely manner.

Develop collaborative wellbeing action plans with service users with ADHD symptoms which promote choice and accessibility.

Discuss all available providers of ADHD assessments enabling clinically appropriate and informed patient choice. In cases where it is agreed to refer, all necessary patient administration will be completed as per agreed protocols.

Identify any barriers to people accessing support for their ADHD symptoms and work with individuals to overcome these.

Use a range of techniques and interventions to support people with ADHD symptoms, to better understand themselves from a strengths and challenges perspective, to encourage a more positive mindset and ability for self-advocacy.

Monitor and record outcomes within agreed clinical templates, assessment tools and outcome measures.

Reflect on personal and team practice, participating openly and constructively in team meetings and huddles, peer supervision, and MDT meetings

Ensure that patient records and other information systems are completed accurately and within agreed timescales.

Responsible for reporting incidents accurately and completing all required training and learning within deadlines.

Ensure timely and comprehensive preparation for MDT meetings, with all required patient information collated, updated, and shared in advance (as per the MDT standard operating procedure).

Maintain high standards of patient care, evidenced through positive patient feedback and the timely, effective management of patients across service pathways.

Achieve agreed service activity, quality, and outcome targets in line with contractual KPIs and organisational standards.

Worked within agreed KPIs, escalating issues promptly when targets cannot be met.

Ensure that support undertaken is meaningful and respectful, promoting self-understanding and self-compassion, and is in line with the individual action plan.

Adhere to organisational policies and procedures relating to risk and patient safety.

Work with team members and colleagues to continually improve the quality of services within the overall organisational governance frameworks and service objectives.

Have good written and verbal communication skills and adapt their approach for people with ADHD as required.

Have awareness and experience of working with and respecting confidential material.

Person Specification

Experience

Essential

• Lived experience and/or experience of working in a service that directly supports neurodivergent individuals.
• Experience of directly working with members of the public in a busy environment.
• Experience of directly working in a service that supports improved health and wellbeing.
• Experience following Standard Operating Procedures, escalation processes, and service KPIs.
• Capable of managing own workloads and meeting tight deadlines agreed with line manager in line with contractual expectations.
• Ability to work effectively in a challenging environment whilst meeting deadlines and maintaining high quality standards.
• Proven ability and experience of prioritising and organising a large and busy workload and demonstrable experience of planning activities for self or as part of a team.

Desirable

• Demonstrable experience of working to reduce health inequalities and supporting underserved groups to access services and achieve positive health-based outcomes.

Systems and Compliance

Essential

• Proficient in the use of Microsoft Office packages including Outlook, Word, Excel, and PowerPoint.
• Knowledge of working with clinical systems such as SystmOne, AccuRx etc.
• Knowledge of the importance of information governance.
• Understands concepts of risk and incident management.
• Experience of managing highly confidential information in a professional and restricted manner.
• Working knowledge of administration processes and systems.
• Proven ability to effectively use recommended document management systems.
• Proven ability to maintain and implement methods and techniques for the organisation, storage and version control of information in accordance with regulations, policy and auditing requirements.
• Willingness to learn and develop advanced skills in relevant working area.

Personal Attributes

Essential

• Proven ability to work collaboratively in a dispersed team and encouraging team cohesiveness through sharing information and expertise, working together to solve problems, and putting team success first.
• Be interested and positive about what senior managers and the team are trying to achieve.
• Strong communication skills; written and verbal.
• Committed to adhering to organisational processes, policies, and compliance requirements.
• Contributes to creating a supportive and inclusive environment for peers and patients.
• Open to feedback and developing reflective practice skills to improve their work and contribute to service outcomes.
• Remain positive and focused on achieving outcomes despite setbacks.
• Take ownership of problems in own area of responsibility.
• Proven ability of being proactive, taking action independently whilst supporting the work area.
• Ability to communicate complex information within the scope of the roles responsibilities

Qualifications

Essential

• Degree or foundation degree in a relevant field
• (Psychology, Health & Social Care, Mental Health, Occupational Therapy, Social Work, Education, etc.)

Desirable

• Coaching, counselling, or motivational interviewing training
• Health coaching qualification
• Evidence of continued professional development, relevant to neurodevelopmental or mental health services

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Leeds GP Confederation

Address

Building 3,

White Rose Park, Millshaw Park Lane

Leeds

Yorkshire

LS11 0DL

United Kingdom

Employer's website

https://www.leedsgpconfederation.org.uk/ (Opens in a new tab)